主 办：北 京 中 医 药 大 学
ISSN 1006-2157　CN 11-3574/R
北京中医药大学学报

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (10): 814-824.doi: 10.3969/j.issn.1006-2157.2020.10.004

• 中药预警 • 上一篇    下一篇

中医禁忌学对中药安全性评价的启示*

廖星1, 胡瑞学1, 陈薇2, 胡晶3, 赵晖4, 许海玉5, 王永炎1#   

  1. 1 中国中医科学院中医临床基础医学研究所 北京 100700;
    2 北京中医药大学循证医学中心;
    3 首都医科大学附属北京中医医院;
    4 中国中医药循证医学中心;
    5 中国中医科学院中药研究所
  • 收稿日期:2020-04-11 出版日期:2020-10-30 发布日期:2020-11-04
  • 通讯作者: #王永炎,男,教授,主任医师,中国工程院院士,中央文史馆馆员,E-wangyongyan2010@sina.cn
  • 作者简介:廖星,女,博士,研究员,博士生导师
  • 基金资助:
    *国家自然科学基金面上项目(No.81774159, No. 81973694),中国中医科学院优秀青年科技人才培养专项(No. ZZ13-YQ-075)

Study of contraindications in traditional Chinese medicine: pearls for safety evaluation of traditional Chinese medicinals*

Liao Xing1, Hu Ruixue1, Chen Wei2, Hu Jing3, Zhao Hui4, Xu Haiyu5, Wang Yongyan1#   

  1. 1 Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China;
    2 Evidence-based Medicine Center, Beijing University of Chinese Medicine, Beijing 100029, China;
    3 Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010,China;
    4 China Center for Evidence Based Traditional Chinese Medicine, Beijing 100700, China;
    5 Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, China
  • Received:2020-04-11 Online:2020-10-30 Published:2020-11-04
  • Contact: Prof.Wang Yongyan, Chief Physician, Academician of Chinese Academy of Engineering, Librarian of the Central Research Institute of Culture and History, 16 Nanxiaojie Dongzhimen, Dongcheng District,Beijing 100700. E-mail: wangyongyan2010@sina.cn
  • Supported by:
    National Natural Science Foundation of China (No.81774159, No.81973694); the Fundamental Research Funds for the Central public welfare research institutes(No. ZZ13-YQ-075)

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摘要： 为提高疗效、减少医疗实践中诊疗风险和差错是中医禁忌学的主要宗旨。因此,中医禁忌学是中医诊疗实践中不可分割的重要部分。了解中医禁忌可以有效规避和拦截临床实践中各种已知和未知的风险,可以促进合理用药,可以规范临床医生行为,提高医疗水平,减少不良事件或不良反应的发生。本文由《中医禁忌学》一书引发,结合当前中药安全性评价相关内容进行阐述。旨在提出中医禁忌学贯穿中医临床诊疗实践过程,“理法方药”皆有禁忌章法可循,守正创新之际,勿忘传承。而基于中医药学禁忌理论,完善现有中成药的说明书、构建医院处方点评系统中中药用药禁忌数据库是当下亟需解决的两个现实且紧迫的问题。

关键词: 禁忌, 安全性, 中医药

Abstract: The study of contraindications in traditional Chinese medicine (TCM) aims to improve the efficacy and reduce risks in the diagnosis and treatment in clinical practice. Therefore, contraindication is the essential part to study in traditional Chinese medicine. A firm grasp of contraindications in TCM can help prevent known and unknown risks in clinical practice. TCM practitioners should learn about contraindications, which can promote rational use of Chinese medicines, regulate the behavior of clinicians, improve the effects of medical treatment, and reduce adverse events or adverse reactions. The idea of this paper comes from the book Contraindications in Traditional Chinese medicinals, from which commentary is made to summarize pearls for the safety evaluation of traditional Chinese medicinals. The purpose of this paper is to put forward the notion that TCM contraindications should be taken into consideration throughout the clinical practice of TCM. There are contraindication rules and regulations to follow in the general principle of diagnosis and treatment. We should not ignore them when we are engaged in clinical practice and scientific research of traditional Chinese medicine. Based on the contraindication theory of TCM, two practical and urgent problems need to be solved at present, which are to improve the existing leaflets of traditional Chinese patent medicine and to establish the contraindication database of traditional chinese medicinals in the hospital prescription information system.

Key words: contraindications, safety evaluation, traditional Chinese medicine

中图分类号: 

  • R277.7